两种皮瓣修复舌癌术后缺损患者对其生存质量的影响比较

发布时间：2018-01-18 08:40

本文关键词：两种皮瓣修复舌癌术后缺损患者对其生存质量的影响比较　出处：《实用医学杂志》2016年21期 　论文类型：期刊论文

【摘要】：目的:比较舌癌术后缺损患者采用游离股前外侧皮瓣或带蒂胸大肌皮瓣修复后对其生存质量的影响。方法:统计2008-2014年应用游离股前外侧皮瓣或带蒂胸大肌皮瓣修复舌缺损患者的资料,应用36条目简明健康状况调查量表(SF-36)测量89例患者术后12个月的生存质量。结果:采用游离股前外侧皮瓣或带蒂胸大肌皮瓣修复舌缺损患者在性别上有统计学差异(P0.05),而在年龄、临床分期、病理分级和治疗方式上无统计学差异(P0.05)。两种皮瓣修复的舌癌患者在生存质量8项维度得分中躯体健康问题导致的角色受限、情感问题所致的角色受限、躯体疼痛、生命活力、心理健康和总体健康感6个领域得分差异有统计学意义(P0.05)。结论:采用游离股前外侧皮瓣修复舌缺损患者的生存质量优于带蒂胸大肌皮瓣修复的患者,为临床医生修复方案的选择提供了参考。
[Abstract]:Objective: to compare the effect of free anterolateral femoral flap or pedicled pectoralis major flap on the quality of life in patients with tongue cancer after operation. Data of patients with tongue defect repaired by free anterolateral femoral flap or pedicled pectoralis major flap from 2008 to 2014 were analyzed. Application of 36 items of brief Health status Survey scale (SF-36). Results: free anterolateral femoral flap or pedicled pectoralis major myocutaneous flap were used to repair tongue defect in 89 patients. And in age, clinical staging. There was no statistical difference in pathological grading and treatment methods. The patients with tongue cancer repaired with two kinds of flaps were limited in the role caused by physical health problems in 8 dimensions of quality of life. Emotional problems can result in limited roles, physical pain, and vitality. The scores of mental health and general sense of health were significantly different in six areas (P0.05). Conclusion: the quality of life of patients with tongue defect repaired by free anterolateral thigh flap is better than that with pedicled pectoralis major flap. It provides a reference for clinicians to choose the repair scheme.
【作者单位】：江西省德兴市人民医院;江西中医药大学附属医院口腔创伤整形科;南昌大学第一附属医院;
【基金】：江西省教育厅基金项目(编号:GJJ11330) 江西省卫生厅科技计划项目(编号:20091067)
【分类号】：R739.86
【正文快照】： 在口腔颌面部肿瘤中,舌鳞状细胞癌是常见的恶性肿瘤之一,根据全世界恶性肿瘤的统计结果显示[1]:2012年有300 400例新发口腔癌病例及145 400例口腔癌死亡病例;美国癌症协会的统计数据[2]显示,每年舌癌占口咽癌的比例达到30%。对于舌癌的治疗手段,常规为手术切除,但切除后会给患

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